Cardiovascular - NURS 190 Physical Assessment Questions
With Complete Solutions
(Ethnic group) females between age 25-54 are at greater risk for
coronary heart diseas than other groups Correct Answers
African American
(Ethnic group) females between ages 65-74 have a higher
incidence of cardiovascular disease than African American
females Correct Answers Caucasian
(Ethnic group) over age 35 have twice the heart disease
mortality of other groups Correct Answers Native Americans
(Ethnic group) with heart failure have higher mortality rates than
Caucasians Correct Answers African Americans
Abnormal chest palpation findings Correct Answers -
Pulsations
-Heaves (feels like abnormally large beating of heart)
-Thrills (soft vibratory sensation)
Indicate valvular disease, increased pressure, or heart
enlargement.
Absence of pulsation seen in Correct Answers Arterial
obstruction
African Americans and Hispanics have a higher incidence of
Correct Answers Hypertension
Obesity
,Diabetes
Smoking
Afterload Correct Answers The force or resistance against
which the heart pumps.
Aortic Regurgitation Correct Answers (Aortic insufficiency)
Incompetent aortic valve that allows backward flow of blood
into left ventricle during diastole
Aortic Stenosis Correct Answers Narrowing of the aorta that
reduces the flow of blood into this large vessel, which causes the
left ventricle to work harder than normal
Atrial fibrillation is irregular/regular? Correct Answers Always
irregular
Atrial Flutter Correct Answers Rate:Atrial 250-350
Ventricular: 100 -175
P: Irregular or absent, often "saw tooth"
QRS: Normal
Conduction: AV Block (2:1 > 3:1, 4:1)
Rhythm: Regular (usually)
- Often underlying cardiac disease
Carotid massage: increases block
Atrial flutter is irregular/regular Correct Answers Can be
regular or irregular
, Atrial septal defect (ASD) Correct Answers An opening in the
septum separating the atria
Atrioventricular (AV) node Correct Answers A node of
specialized heart muscle located in the septal wall of the right
atrium; receives impulses from the sinoatrial node and transmits
them to the atrioventricular bundle
Auscultation of aortic regurgitation Correct Answers -Soft
blowing early diastolic decrescendo murmur
-Heard best at the left 2nd ICS
-Does not radiate
Auscultation of aortic stenosis Correct Answers -Harsh, late-
peaking crescendo-decrescendo systolic murmur
-Heard best at LSB 2nd ICS
-Radiates to carotid arteries
-Abnormal carotid pulse
Auscultation of carotid arteries Correct Answers 1. Listen with
diaphragm and bell of stethoscope
2. Have patient hold breath briefly
3. Compare apical pulse to carotid pulse
Auscultation of mitral regurgitation Correct Answers -Blowing
holosystolic murmur
-Heard best at the apex
-Radiates to the axilla and inferior edge of left scapula
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